Common illnesses of the disadvantaged communities. Closer home treatment. Despite progress in reducing mortality in children under the age of five, three quarters of these deaths have fewer causes, namely pneumonia, diarrhea, malaria, and problems with the newborn. Malnutrition is associated with nearly a third of deaths. Proper treatment of pneumonia, diarrhea, and malaria in children is one of the most effective ways to reduce infant and child mortality. However, in most countries with a high mortality rate, medical services at the facility level are not sufficient to ensure adequate access to treatment, and especially not for a critical 24-hour period after the onset of symptoms.
If we want to significantly reduce infant and child mortality in disadvantaged communities, we must solve the problem of access to health care. Public health workers — trained, trained, and supported, in particular by an uninterrupted supply of essential materials and medicines — can correctly detect and treat most cases of children with the above conditions.
In 2004, joint statements were published on the treatment of pneumonia in society and the clinical management of acute diarrhea, emphasizing the importance of community management for each condition. A recent study by the Children’s Health Epidemiology Reference Group found that community management of all cases of childhood pneumonia can reduce mortality from pneumonia in children under 10 years of age by 70%. five years.
Community case management of malaria can reduce overall mortality and deaths from malaria by 40% and 60%, respectively, in children under five years old and reduce the incidence of malaria by 53%. Oral rehydration salts and zinc are effective in controlling deaths from diarrhea. at home and in society; It is estimated that it can prevent 70-90% of deaths from acute diarrhea and that zinc can reduce the deaths from diarrhea by 11.5% 12. For these reasons, partners in a growing number of countries are promoting and supporting a strategy to educate and mentor leading healthcare professionals on treatment children.
Diarrhea, pneumonia and malaria in the most affected countries as a result of the use of zinc, oral antibiotics and combination therapy based on artemisinin. In addition, the availability of high-quality rapid diagnostic tests has allowed screening for malaria at the community level. Use will create an even greater need for integrated management, as recommended to ensure that health workers respond appropriately to febrile children with or without malaria. Finally, it allows public health workers to identify children with severe acute malnutrition by measuring the circumference of the middle arm.
Support for a disadvantaged community brings healing to children in hard-to-reach places. Supporting a disadvantaged community is a strategy aimed at populations that do not have constant access to treatment activities. This is usually, but not exclusively, poor rural communities. In countries around the world, mortality is much higher among children living in rural areas and in the poorest households. There is also an inequality in access to care: children from the poorest families (few regardless of where they live) have less access to proven methods of child survival.
The number of child deaths worldwide continues to decline, which is encouraging, but in many countries, especially in sub-countries, the decline is slow, steady and even declining. While new preventive interventions (including combined pneumococcal and rotavirus vaccines) will reduce mortality, timely and effective treatment of pneumonia, diarrhea and malaria remains necessary. The supply of health services is often the weakest where the need is greatest, and the low coverage of most necessary interventions leads to a significant unmet need for treatment of health-related diseases.
In developing countries, current levels of coverage remain unacceptably low:
• only 39% of children receive adequate treatment for diarrhea.
• Only 30% of children with suspected pneumonia receive antibiotics.
• Less than 20% of children with fever are tested for malaria with finger or heel injections in 11 of 13 countries with statistics.